Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (4): 30-34.doi: 10.6040/j.issn.1673-3770.0.2020.426

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Excision of T1B glottic carcinoma using the combined approach of cricothyroid membrane and laryngeal ventricle

WU Yungang, ZHANG Hui, SUN Juxing, LIU Tao, WANG Caihua, YANG Xinxin, MA Linxiang, LI Xiaoying, PANG Taizhong, LI Xiaoyu   

  1. Department of Otorhinolaryngology & Head Neck Surgery, the Affiliated Hospital of Jining Medical University, Jining 272029, Shandong, China
  • Published:2021-08-05

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Abstract: Objective This study aimed to explore the curative effect of glottic laryngeal carcinoma excision by the combined approach of cricothyroid membrane and laryngeal ventricle. Methods The clinical data of 16 patients with glottic carcinoma(T1bN0M013, T1bN1M03)were retrospectively analyzed. The tumor was excised using the combined approach of cricothyroid membrane and laryngeal ventricle, and the vocal cords were repaired by pulling down the ventricular zone. The recurrent rate, the extubation rate, hoarseness, glottis morphology, and swallowing were analyzed. Results Of the 16 patients, only one patient developed local recurrence after surgery. The extubation rate was 100%. In all patients, the hoarseness improved to different degrees, the morphology of the glottis was close to the normal triangle, and the patients started to eat on day 5 postoperatively. Conclusion The combined approach of cricothyroid membrane and laryngeal ventricle is safe and effective for T1B glottic carcinoma.

Key words: Glottic carcinoma, Cricothyroid membrane, Laryngeal ventricle, Partial laryngectomy, Anterior commissure

CLC Number: 

  • R767
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